# SUPERIOR HEALTHCARE PHYSICAL MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861889263
- **Authorized official:** DAVID DALE ELLIS DO (OWNER)
- **Authorized official phone:** (281) 574-5539

## Contact information

- **Practice address:** 24124 CINCO VILLAGE CENTER BLVD, SUITE 300, KATY, TX 77494-8396
- **Practice address phone:** (281) 547-5539
- **Mailing address:** 24124 CINCO VILLAGE CENTER BLVD, SUITE 300, KATY, TX 77494-8396
- **Mailing address phone:** (281) 547-5539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 05/05/2016
